MCD Care, LLC
Organization Active NPI Custodial Care Facility · Park Hills, MO
NPI 1831535301 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1831535301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- MCD CARE, LLC
- Practice address
- 351 Keith St
Park Hills, MO 63601-2049 - Phone
- (573) 518-0444
- Fax
- (573) 518-0453
- NPI assigned
- May 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Daphne Ilene McDonald
- Title
- LLC Member
- Phone
- (573) 518-0444
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes |
Addresses
Primary practice location
351 Keith St
Park Hills, MO 63601-2049
Mailing address
PO Box 394
Park Hills, MO 63601-0394
Phone (573) 518-0444
Other names
- Keith Street Manor
Other providers in Park Hills, MO
- Tonya Monique Long
- Carrie Lorentz
- Jacklyn Lowry
- Walter Major
- Susan McCarron
- Ashley Brooke McFarland
- Robene McKoy
- Martha A McMurry
- Ivy Meinershagen
- Michael L Edgar DDS PC
All providers in Park Hills, MO · Custodial Care Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.